EIVIC2020 Final Workshop: Registration form

Registration for the EIVIC2020 Final Workshop

Tick to consent to the collection, use and storage of your personal data:

Herewith I confirm that all data are being filled in correctly. The personal data I have entered into the form’s fields (e.g. name and e-mail-address) will only be used to the extent necessary for the performance of the listed event on the legal basis of Article 6 (1) b) GDPR. My data will be retained for a maximum of 11 years according to § 147 of the Fiscal Code of Germany (AO). I know that I can revoke my consent to the collection, use and storage of my personal data at any time by sending my revocation to office@eurados.org. With my signature, I agree to the Data Privacy Statement, which I have read.

Hereby,

Family name *

First name *

Title and job position

Email *

Confirm email *

Institution *

Laboratory/Department (if different)

Address *

Address 2

City/Town *

ZIP/Postal Code *

Country *

registers for the participation in the Final Workshop for the EC-project EIVIC2020 to be held on 9^th June 2022, 9:00-16:30 h at CIEMAT, Madrid, Spain.

I would like to participate

on-site in Madrid

online

The link for online participation will be sent to you in the week before 9th June 2022.

The participation is free of charge.

I/My organisation participated in the intercomparison of the EIVIC2020 project

Yes

I would like to participate in the Technical Visit - CIEMAT Whole-Body Counter on 9th March 2022, 17:00 h

Yes

I want to participate in the joint dinner on 9th March 2022, 20:30 h

Yes

The restaurant will be selected based on the number of registered participants and current COVID regulations. The costs are not covered by EURADOS.

I would like to receive a certificate of attendance

Yes

The certificates will be sent in the week after the workshop to the e-mail provided above.

Remark

Signature *

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Registration for the EIVIC2020 Final Workshop

Hereby,

registers for the participation in the Final Workshop for the EC-project EIVIC2020 to be held on 9th June 2022, 9:00-16:30 h at CIEMAT, Madrid, Spain.

The participation is free of charge.

A confirmation will be sent by e-mail. You might check your spam folder if it is not received.

registers for the participation in the Final Workshop for the EC-project EIVIC2020 to be held on 9^th June 2022, 9:00-16:30 h at CIEMAT, Madrid, Spain.